World Friends: un'esperienza dal campo

1. Esempio di valutazione di progetti:
I progetti «Mother and Child Health Network – MCHRN» e
«Facilities Advancement and Referral Enhancement»

2. Where: Korogocho, Mathare, Baba Dogo,
Dandora, Huruma (slums of Nairobi
North-East)
Beneficiaries: 5 lower-level mother-and-
child healthcare facilities, operating in
the slums, and their patients, particularly
mothers and children < 5
“MOTHER AND CHILD HEALTH
REFERRAL NETWORK” &
“FACILITIES ADVANCEMENT AND
REFERRAL ENHANCEMENT”

3. Activities:
1) Empowerment of 5 lower lever MCH facilities
located in the slums (infrastructural
renovation, MCH equipment, training for
Healthcare Personnel)
2) Creation of a referral network with the 5 lower
level facilities and Ruaraka Uhai Neema
Hospital
3) Setting up of a 24/7 ambulance service
4) Extension of RUNH Maternity Department
and constructions of a second operating theatre

4. Monitoring
1) Baseline data collection was carried out before the beginning of the project
2) Indicators and Targets were set
3) A training on M&E was conducted for all the partners and personnel involved
4) A specific monitoring tool was developed to keep record of outputs vis-à-vis
the provision of “priority services” (i.e. RH, MAT, PAED, HIV/AIDS).
5) Technical Assistance by an M&E expert from Abt Associates (HANSHEP Fund
Manager) contributed to refining the tool and avoiding (or isolating) double-
counting. Data were collected and inserted in the tool on a quarterly basis.

5. Evaluations
We conducted different evaluations, of different scopes and from different
perspectives:
- Internal, i.e. conducted by subjects involved in the implementation
(Dr.Luca Scali, Centro di Salute Globale, Regione Toscana)
- External, i.e. conducted by subjects not involved in the implementation
- Overall, i.e. covering the entire intervention ( Ipsos Synovate - FGDs )
- Specific, i.e. covering one or a specific set of activities and/or actions
Perspective /
Scope
Internal External
Overall √ √
Specific √ √
( Abt Associates – KIIs )

6. Conclusions and Lessons Learnt
Overall Conclusions:
1) Continuous overall and specific, internal and external evaluations greatly helped to rectify
problems in time and/or plan for and eventually take additional necessary actions
(implementing recommendations) within the project period.
2) Having a continuous M&E activity is crucial for the organization to be conscious of the
project, of its strengths but also the weaknesses to address. If jointly conducted with project
partners, it contributes to achieving a higher degree of ownership of the entire intervention.
Examples of adjustments made following M&E recommendations:
i) KIIs and FGDs helped the organization to realize, among other elements, that
community perception of healthcare providers is even more crucial than expected this
led to subsequent investments in adequate and coherent visibility of the facilities
involved.
ii) In interventions focused on systems requiring complex integration, such as referral
mechanisms across different healthcare levels, it is proper to continuously check whether
all rings of the chain are adequately functioning delays in seeking care at household
level and accessing care at BEmOC facilities were found to be significant, so the project
strategy was subsequently amended to also enhance these levels, i.e. community-based
health promotion and engagement of Community Health Volunteers as links between
households and BEmOC facilities.